Individual
LORA ANN DIMICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
23333 HARVARD RD, BEACHWOOD, OH 44122-6232
(000) 000-0000
Mailing address
PO BOX 660, MENTOR, OH 44061-0660
(440) 516-3776
(440) 516-3783
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0035361
OH
Other
Enumeration date
11/02/2023
Last updated
11/20/2025
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